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Prescribed Application Form For Teaching Post

This document is an application form for a teaching post at Ganpat University, requiring detailed personal, educational, and professional information from the applicant. It includes sections for qualifications, employment history, research experience, publications, and references. The applicant must also declare the truthfulness of the information provided and may need to submit additional documents as specified.

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kksharma
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7 views3 pages

Prescribed Application Form For Teaching Post

This document is an application form for a teaching post at Ganpat University, requiring detailed personal, educational, and professional information from the applicant. It includes sections for qualifications, employment history, research experience, publications, and references. The applicant must also declare the truthfulness of the information provided and may need to submit additional documents as specified.

Uploaded by

kksharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

GANPAT UNIVERSITY

Ganpat Vidyanagar, Mehsana-Gozaria Highway, Kherva-384012, Ta. & Dist. Mehsana (N.G.)
APPLICATION FORM (For Teaching Post)
(Please fill-up separate form for each post)

Advt. No….......................................Programme.................................................................... Affix a Passport


Post Applied for:................................................................................................................ size Photograph
Subject:............................................................................................................................... here

Faculty / College/ Department / Institute: ..................................................................................................

1. Name in Full (IN BLOCK LETTERS): Dr./Mrs./Ms./Mr.:__________________________________________________


2. Father’s Name: ________________________________________________________________________________
3. Date of Birth: _________________________________________ Blood Group ___________________________
4. Mailing Address: _______________________________________________________________________________
_______________________________________________________________________________
_________________________________________________Pin Code No.___________________
Tel. No.: (O)___________________________________(R)_____________________________________
(M)___________________________________Fax No._________________________________
E-mail: ______________________________________________________________________________
5. Permanent Address: _________________________________________________________________________
__________________________________________________________________________
___________________________________________Pin Code No.____________________
Tel. No.: (O)___________________________________(R)_____________________________________
(M)___________________________________Fax No._________________________________
E-mail: ______________________________________________________________________________
6. Native Address: _______________________________________ District:_____________State: _______________
7. Gender: Male / Female / Other: __________________________________________________________________
8. Marital Status: Married/Unmarried / Widow: _______________________________________________________
9. Please mention the Caste: General / SC / ST /OBC ______________________________________________
10. Nationality: ______________________________ 11. Religion: ____________________________________
12. Physically Disabled: Yes / NO: ___________________
13. EDUCATIONAL QUALIFICATIONS (Starting with Highest Degree up to SSC)
Examination/ Subject/ (s) Percentage of Name of College/ Passing Mode of Education
Degree Marks / Final University /Board Year (Regular / Distance)

Prescribed Application Form for Teaching post Page 1


Title of Ph.D. Thesis: ________________________________________________________________________
Year of Submission ___________________________________ Year of Award ________________________

14. Details of Employment: Total Experience: Teaching ___________Years


Research___________Years
Industrial ___________Years
Institution Designation Duration Total Pay Band AGP Last Contact Reason of
From To Duration drawn Detail Leaving
(Year, Basic / (Email ID,
Month Gross Number)
& Day) Salary

15. Please indicate how you fulfill the desirable qualifications, like NET/ SLET.
16. Research Guidance
Number of scholars who have been awarded M.Phil./ Ph.D. under your supervision both as Guide & Co-Guide
M. Phil Degree (a) Submitted ____________ (b) Awarded ________________
Ph. D. Degree (a) Submitted ____________ (b) Awarded ________________
17. Research Projects undertaken (other than that for a Research Degree)
Subject of Date of Date of Completion Emoluments Drawn Under whose
Research Commencement auspices

18. Publication: ( Give the number of Publications )

Published Accepted for Publication Communicated

Books
Research
Papers/Articles
N.B: Please attach a separate sheet listing Books/Articles under each of the above mentioned categories. In those cases
where they have been published, please mention the title, the name of the publisher/the name of the journal, the year of
publications whether written in collaboration etc. In the absence of these details, the information furnished under this
column shall not be considered.

Prescribed Application Form for Teaching post Page 2


19. Mention briefly your experience /activities under the following heads including the positions held, if any:

a) University Administration:
b) Extra –Curricular activities or students:
c) Residential life or students:
20. Languages Proficiency (Please mention as Proficient/Good/Poor in the respective Language section)

Language Read Write Speak


English
Hindi
Gujarati
Any other ( )
21. Have you undertaken any foreign travel for academic purposes? If so, give details below.

Country / Countries Visited Institution & Duration Purpose of visit

22. Whether “No objection Certificate” from employer furnished: Yes / No / Not applicable_____________

23. Name, Designation, Phone No. and Email id of two references

Sr. Name Designation Organization Ph./Mob. No. Email Id


No.

24. Details of Spouse, if Married or Father, if Unmarried.


Professional Details, if any
Name Relation Qualification
Name of Organization Designation / Duration of work

25. In case of Emergency the Person to be contacted/notified:


Name Relationship Address Tel./Mob. No

I hereby declare that all statements made by me in this application are true and correct to the best of my knowledge and
belief. In case of any information found false or misleading, I understand that my candidature is liable to be cancelled /
terminated.

Date:
Place: (Signature along with full name of candidate)

Forwarded through Present Employer Signature of present employer with stamp (Preferred) Seal

Prescribed Application Form for Teaching post Page 3

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